BEUDAMED
    FDA Adverse Event Other Summary report: N

    REXALL

    MDR report key: 3772093 · Received April 11, 2014

    Report

    Report Number
    1038758-2014-00007
    Event Type
    Other
    Date Received
    April 11, 2014
    Report Date
    April 10, 2014
    Manufacturer
    ASO LLC
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    ON (B)(4) 2013 - THE CONSUMER REPORTED THAT THE NASAL DILATOR PULLED THE SKIN ON THE TOP PART OF HIS NOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    221581 REXALL DOLLAR GENERAL HEALTH CLEAR SPOT BANDAGE KGX ASO LLC 017276227378 A198112-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other